Mai makaʻu i ka 'pana' (lāʻau pale) a kāu pēpē! E kamaʻilio kākou e pili ana i kēia.

ʻAʻohe mea makemake maoli e loaʻa i kahi 'pana', ʻo ia hoʻi, kahi inikini me kahi nila, ʻeā? ʻOi aku hoʻi nā keiki liʻiliʻi. Akā ua ʻike anei ʻoe hiki i nā kauka a me nā kahu maʻi ke pale i kāu keiki mai nā maʻi weliweli he nui me kēia mau inikini liʻiliʻi? Inā loaʻa i kāu keiki kēia mau maʻi, hiki iā lākou ke pilikia nui. No laila, pehea ka waiwai nui o ka pale ʻia ʻana mai kēia mau maʻi ma mua o ka ʻike ʻana i ka ʻeha iki o ka inikini, ʻeā?

He aha maoli ka 'pana', a i ʻole ka lāʻau pale? Pehea ia e pale ai i ka pēpē?

I ka ʻōlelo maʻalahi, he mea ia e hāʻawi ʻia i kāu keiki. Akā, ʻaʻole ia e hoʻoulu i ka maʻi. ʻO ka mea āna e hana ai, ʻo ia ka hāʻawi ʻana i kahi ʻāpana liʻiliʻi o ka germ e hoʻoulu ai i ka maʻi, a i ʻole kahi germ make a nāwaliwali loa paha, i kāu keiki. E noʻonoʻo inā hāʻawi ʻoe i kahi germ ola holoʻokoʻa, e hoʻoulu ia i ka maʻi (e like me ka maʻi ʻōpala, no ka laʻana).

Akā ke hāʻawi ʻoe i kahi ʻāpana liʻiliʻi, nāwaliwali, a make paha o kahi germ e like me kēia, ʻaʻole ia e hoʻoulu i ka maʻi. ʻO ka ʻoiaʻiʻo, ʻo ka mea ʻē aʻe ka mea e hana ai. Pane ke kino o kāu keiki i ka lāʻau pale ma ka hana ʻana i nā antibodies . ʻO kēia mau antibodies kekahi ʻāpana o ka ʻōnaehana pale o kāu keiki. Noho lākou i loko o ke kino o kāu keiki. Ma kēia ʻano, inā komo kēlā germ ʻino i ke kino i ka wā e hiki mai ana, ua mākaukau ke kino o kāu keiki e hakakā iā ia.

Ke pale ʻia ke kino o ke keiki mai kahi maʻi ma kēia ʻano, ʻōlelo mākou ua loaʻa iā ia ka palekana mai kēlā maʻi. ʻO ka hapa nui o ka manawa, ʻo ia hoʻi, ʻaʻole e loaʻa hou i ke keiki kēlā maʻi. Akā i kekahi manawa, hiki i ke keiki ke loaʻa i ka maʻi. E lawe i ka moa, no ka laʻana. ʻOiai nā keiki i hoʻopili ʻia no ka moa hiki ke loaʻa i ka moa. Akā ʻo ka nūhou maikaʻi, ʻoiai inā loaʻa iā lākou, he ʻoluʻolu loa ia. He emi nā pehu a emi ka maneʻo.

Pehea e hāʻawi ʻia ai kēia mau lāʻau pale i ka pēpē?

Hāʻawi ʻia nā lāʻau pale i kāu keiki ma o ka inikini me ka hoʻohana ʻana i kahi nila. ʻO ka mea e paʻa ai ka lāʻau pale wai ua kapa ʻia he syringe . Hoʻokomo ʻia ka lāʻau wai i loko o ke kino ma o kahi puka liʻiliʻi i loko o ke nila. ʻO ka maʻamau, hāʻawi ʻia ka inikini ma ka lima o kāu keiki (a i kekahi manawa ma ka ʻūhā).

I ka manawa hea e hāʻawi ʻia ai kēia mau lāʻau pale i nā keiki ʻōpio?

ʻO ka nūhou maikaʻi no nā makuahine, ʻo ka hapa nui o nā lāʻau pale e pono ai nā keiki e hāʻawi ʻia ma mua o ko lākou piha ʻana i ʻelua makahiki . No laila, inā ua lawa kou mau makahiki e heluhelu ai i kēia ʻatikala, ua loaʻa paha iā ʻoe ka hapa nui o kāu mau lāʻau pale! Ma hope o kēlā, ʻaʻole pono kāu keiki i nā mea hou aku.

Ma keʻano laulā, ma Sri Lanka, hoʻopili mākou i nā keiki e like me ka National Immunization Programme. ʻO ka Child Health Development Record (CHDR) a kāu keiki, ʻo ia hoʻi, aia i loko o kēlā puke poni kēia mau kikoʻī āpau. Wahi a ia, hāʻawi ʻia kekahi mau lāʻau pale i ka wā kamaliʻi, i ka 2, 4, 6 mahina, a laila i ka makahiki, a i ka 18 mahina. A laila, hāʻawi ʻia kekahi mau lāʻau pale i nā keiki ma waena o 4 a me 6 mau makahiki. ʻO ka pūʻulu lāʻau pale aʻe e hāʻawi pinepine ʻia i ka wā he 10-12 mau makahiki o nā keiki.

Pono hoʻi mākou e haʻi aku i ka lāʻau pale maʻi palū i hāʻawi ʻia i kēlā me kēia makahiki. I kēia manawa ma kekahi mau ʻāina, hiki ke hāʻawi ʻia kēia ma ke ʻano he pīpī ihu ma kahi o ka nila. Eia nō naʻe, ma Sri Lanka, ʻo ka lāʻau pale maʻamau ka pana. Hana like nā ʻano ʻelua. E haʻi aku kāu kauka iā ʻoe i ka mea maikaʻi loa no kāu keiki a inā paha he mau lāʻau pale ʻē aʻe e pono ai.

No ke aha he mea nui kēia mau lāʻau pale no kā mākou mau keiki?

He mea nui loa nā lāʻau pale no nā keiki no ka mea e pale aku lākou iā lākou mai nā maʻi weliweli i ʻōlelo ʻia ma luna. Eia kekahi, ke hoʻopili pono ʻia kēlā me kēia keiki o ke kaiāulu, ua emi nui ka manawa e loaʻa ai i kekahi i kēia mau maʻi. E noʻonoʻo i ka nui o ke ʻano o ka pale ʻana i kahi maʻi mai ka laha ʻana mai kekahi keiki a i kekahi? ʻO kēia ka mea a mākou e kapa nei herd immunity .

Ma muli o ka hoʻopili pono ʻia ʻana o ka hapa nui o nā keiki ma Sri Lanka, he mea kakaikahi loa ka ʻike ʻana i kekahi me nā maʻi e like me ka maʻi ʻūlū a me ka mumps . ʻAʻole anei pono kou mau mākua e hōʻike ua hoʻopili ʻia kāu keiki ma mua o ka hoʻouna ʻana iā lākou i ke kula? Hana nā kula a me nā kula kamaliʻi i kēia e pale aku i ka laha ʻana o nā maʻi weliweli i waena o nā keiki a e pale aku i nā keiki.

He ʻeha maoli anei ke hāʻawi ʻia kahi lāʻau pale? He aha kā mākou e hiki ai i nā mākua ke hana i kēia manawa?

ʻAe, i ka ʻoiaʻiʻo, ʻae. He ʻeha iki ke hāʻawi ʻia kahi lāʻau pale. Manaʻo ke keiki. Akā, hele pinepine mai kēlā ʻeha a nalo koke. Mai hopohopo inā uē ke keiki. Uē ka hapa nui o nā keiki, he mea maʻamau ia.

Hiki iā ʻoe ke hoʻāʻo i kēia mau mea e maʻalahi ai ka hana ʻana i nā lāʻau pale no kāu keiki:

• E lawe i ka mea pāʻani punahele a ke keiki, e like me ka pea teddy.
• E paʻa i ka lima o kāu keiki i ka wā e hāʻawi ai i ka lāʻau pale. He kumu ikaika nui kou hoʻopā ʻana no ke keiki.
• E hoʻohuli i ka manaʻo o kāu keiki. E hīmeni i kahi mele, e haʻi moʻolelo, a i ʻole e hōʻike iā lākou i kahi kiʻi nani i loko o ka lumi.
• ʻO ka mea nui loa, ʻo ia ke noho mālie a mai hopohopo. Inā ʻoe e hopohopo, e ʻoi aku paha ka makaʻu o kāu keiki.
• Malia paha e hāʻawi ke kauka i ke keiki i kahi mea e like me kahi kāpili liʻiliʻi ma hope o ka lāʻau pale. Ke hiki ʻoe i ka home, hiki iā ʻoe ke hoʻomaikaʻi i ke keiki, hāʻawi iā ia i kahi makana liʻiliʻi, a i ʻole e lawe iā ia i kahi kahua pāʻani.

I kekahi manawa ma hope o ka hāʻawi ʻia ʻana o kahi lāʻau pale, ʻeha paha ka wahi i hoʻokomo ʻia ai ke keiki, ʻulaʻula paha, a he puʻupuʻu liʻiliʻi e like me ka pehu. Eia kekahi, hiki ke loaʻa kahi kuni haʻahaʻa.Aia kahi manawa kūpono o ka inikini. Inā loaʻa iā ʻoe kekahi mau pilikia e like me kēia, e kamaʻilio me kāu kauka. ʻO ka maʻamau, e nalowale koke ka ʻulaʻula a me ke kuni ma kēia lima. Inā pono, hiki iā ʻoe ke hāʻawi i kāu keiki i kahi lāʻau hoʻopau ʻeha e like me Paracetamol, a kāu kauka i kuhikuhi ai. Mai hāʻawi i nā lāʻau lapaʻau ʻē aʻe (ʻoi aku ka aspirin) i nā keiki liʻiliʻi me ka ʻole o ka ʻōlelo aʻo a ke kauka.

He mea maʻamau i kāu keiki ke makemake ʻole i nā lāʻau pale. Akā e hoʻomanaʻo, ʻo ka pale maikaʻi loa e mālama ai iā lākou i ke olakino, ʻo ia nā lāʻau pale!

ʻO ka mea hope loa, ʻo ka mea nui loa e hoʻomanaʻo! (Leka Lawe-Home)

No laila, mai kēia mau kamaʻilio ʻana a pau, hiki paha iā ʻoe ke hoʻomaopopo i ka waiwai o nā lāʻau pale i ke olakino o kā mākou mau keiki.

• ʻO nā lāʻau pale ke ala palekana a maikaʻi loa e pale aku ai i kāu keiki mai nā maʻi koʻikoʻi a weliweli hoʻi .**
• E hōʻoia i ka loaʻa ʻana o kāu keiki i nā lāʻau pale āpau e pono ai i ka manawa kūpono. E nānā pinepine i kāu Child Health Development Record (CHDR) , a e kamaʻilio pinepine me kāu limahana olakino ʻohana (kahu wahine) a me ke kauka.
• Inā ʻike ʻoe i kekahi mea ʻē i kāu keiki ma hope o ka loaʻa ʻana o ka lāʻau pale, inā ʻaʻole i emi ke kuni, a inā he pilikia ʻē aʻe, e ʻike koke i ke kauka.
• Mai manaʻoʻiʻo i nā lono a me nā kuhihewa o haʻi. E ʻimi mau i ka ʻike pololei a ʻepekema e pili ana i nā lāʻau pale mai ke kauka a i ʻole ka limahana olakino ʻohana.

ʻO ka ʻike ʻana i kāu keiki olakino a hauʻoli hoʻi ka moeʻuhane o kēlā me kēia makuahine a me makuakāne. No laila, ʻo ka lāʻau pale kekahi o nā ala nui e hoʻokō ai i kēlā moeʻuhane. Mai makaʻu, mai kānalua. E lāʻau pale i kāu keiki.

Nā lāʻau pale, olakino o ke keiki, ka pale ʻana, nā lāʻau pale pēpē, ʻōlelo aʻoaʻo no ka makua, ka papa hana lāʻau pale, nā maʻi pediatric